Chapter 251: Chapter 0235: The Real Devil’s Surgery
“Mr. Takahashi, relax, there’s no need to be nervous!” Director Tan ignored his so-called protest.
“Professor Tan, fools fear nothing because they know nothing. To my understanding, given your capabilities, not even young interdiate surgeons, let alone yourself, can handle this type of surgery. Please put aside your false pride. If possible, I can assist you!”
Takahashi spoke to Director Han without even lifting an eyelid.
He regarded Director Tan with extre disdain, feeling that he was not of the sa caliber as him in any aspect—whether it was dical skills, educational background, workplace, or academic standing. The gap was too great, like the difference between a phoenix and a farmyard chicken. Attending such a low-level academic conference, was to him, an act of charity.
But Director Tan wasn’t soone Takahashi could step on at will. If Takahashi chose to ignore him, would Director Tan have to still pander to him? They were both trying to hold their heads high. How could Takahashi possibly be superior?
“Mr. Takahashi, try not to stress too much, take it easy. It’s possibly been a while since you’ve left your small island, and quite a long ti since you’ve been to China. You could use this opportunity to take a look around. China is vast, and so is the world. Staying on an island for long periods of ti could lead to myopia. In Chinese, there is an idiom that describes this – ‘frog in a well’.”
Director Tan retorted sharply. When two proud individuals sat together, clashes were hardly avoidable. They might even spark an explosion.
Only soone like Director Tan would not pander to him. Had it been anyone else, they would probably not have the guts to confront him and would’ve been simply nodding in agreent already.
Upon hearing Director Tan’s words, Takahashi was incredibly angry. When he attended conferences elsewhere, everyone treated him like a deity. Even in the States, he was treated like a VIP, surrounded by a crowd wherever he went.
Who would’ve expected that in a small hospital, soone would dare to contradict him? He swallowed his anger and said,
“You had this patient airlifted, right?”
“Correct!”
“Is the ambulance still stuck on the highway? Can it get back before dark?”
“No need to worry about that, you should focus on the surgery.”
“Don’t you guys have the famous ‘Chinese speed’? Just build another highway to get back,” Takahashi mocked.
Director Tan shot back without hesitation, “It seems like you do understand China. If necessary, building a new road is not a big deal.”
—
For the first patient, after injecting contrast dium into the blood vessels, they needed so ti for it to spread before beginning the surgery.
The cranial CT scan appeared on the screen as the main observation plane, with dozens of cross-section images.
Song Zimo’s eyes scanned through those images, his spatial imagination skills coming into play.
As soone who can play chess blindfolded or solve a Rubik’s cube without looking, this was not a challenging task.
One look at a Rubik’s cube, and Song Zimo could morize it, then solve it in his mind without making a single mistake.
Even when it ca to Rubik’s cube, he only ever lost to Yang Ping. Apart from Yang Ping, he dared to confront any challenge.
Today, he decided to surpass Sasaki in front of more than two thousand doctors to prove that he too was one of the best surgeons.
Just as everyone thought he was aiming to outshine Niiroi, only Yang Ping knew him well enough to know he thought otherwise.
Niiroi was too minor of a challenge. If he were to overco anyone, it would be Sasaki.
Song Zimo precisely determined the site of the cerebral hemorrhage.
One hole was drilled for drainage. Since the location was pinpointed accurately, they opted for minimally invasive solution, foregoing the need for a craniotomy.
Using a limited cranial drill to make a small hole in the skull, a drainage tube slowly penetrated till it reached the center of the subdural hematoma.
The dark red blood was successfully drained using vacuum pressure. dication to dissolve the blood clot was then introduced through the tube, allowing the coagulated blood to dissolve and drain.
One single tube resolved the brain hemorrhage. Once a thod obtained a miraculous accuracy, its effectiveness was amplified. It was like decapitation warfare.
The problem of brain injury was solved, next was the heart and lung in the chest cavity.
The multiple fractures on the left rib and punctured left lung were not significant issues.
Tools like thoracoscope, laparoscope, arthroscope, and foraminoscope had beco very familiar to him through his two hours of daily endoscopy training.
Benefiting from Director Han’s major trauma theory, Song Zimo accumulated rich experience in major trauma surgery.
A hematoma was spotted in the diastinum. The CT scan suggested a tiny tear in the ascending aorta. This was the challenging part.
It is almost impossible to handle if using a thoracoscope. If anything goes wrong, the consequences could be unthinkable.
But this was only for ordinary people. Song Zimo was not ordinary, and today, he was determined to complete this “impossible” operation.
Using an electric knife under thoracoscopy, he gently incised the diastinum. As soon as the blood was liberated from the diastinum, it imdiately sprayed out. If a high-pressure hemorrhage occurs, the tear in the aorta could enlarge from the tear, blinding the surgical field with a sea of red. The patient would quickly die from the massive blood loss.
Song Zimo acted swiftly at the very mont the blood began to gush out uncontrollably. The tip of the automatic suturing device with thread had already reached the laceration on the ascending aorta, completing one stitch.
The small laceration only needed one stitch. The suction device removed the spurted blood, leaving no blood in the diastinum.
The audience exhaled the bated breath they’d been holding. Dealing with such a situation under thoracoscopy was extrely risky.
If the suturing was even a bit slower, or if it was not accurate enough, or if the position was slightly off, the high-pressure spurt would rupture the aortic wall, creating a much larger wound. The aorta would be quickly emptied of blood, leaving no ti for further procedures like cracking open the chest. By then, it would be too late, and the patient would die on the operating table.
This procedure was like a mid-air acrobatic performance during a rock-climbing challenge, thrilling and dangerous – an extre demonstration of a surgeon’s skill.
“Wow!”
Everyone exclaid in astonishnt, exhaling deeply, Fujiwara Miyuki crossed her hands over her chest.
Takahashi straightened up, turning to look at Director Tan. This operation, he and Sasaki had practiced for several years before daring to use it in surgery.
This young doctor used it so proficiently, he thought he was seeing things.
The suturing off the aortic tear, the removal of the diastinal hematoma, and the relief of pressure on the heart, all made the heartbeats stronger.
Left lung contusion, multiple rib fractures, all were nothing to Song Zimo, he solved them all within a few minutes, it was not a challenge to him.
With the help of Yang Ping, Song Zimo’s skills improved quickly.
This operation was one he mastered after being forced to practice juggling by Yang Ping.
Juggling, simultaneously throwing two, three, four, five balls…, training to seize the opportunity, accurately capturing the opportunity in a split second, completing high-risk operations.
The dangers of the cranium, heart, and lungs have all been eliminated. He looks relaxed and effortless.
“Old Han actually has such a young doctor under his wing?” Fu Shancheng watched in astonishnt. His heart had jumped at that operation just now.
An orthopedic surgeon handled thoracic injuries so deftly, even more efficiently than a thoracic surgeon.
“No wonder Old Han is so calm, as stable as Mount Tai. He has a trump card. It looks like we were worrying for nothing.” ng Heng never took his eyes off the screen.
Professor Su also had an idea now, this doctor was Yang Ping’s assistant. It seems that Yang Ping has mastered the surgery for full body trauma.
The contrast dium has almost spread in the blood vessels. It’s ti to start the angiography. Everyone retreated behind the lead screen to avoid radiation.
The spiral CT scanner was continuously capturing images of the abdon.
Hundreds to thousands of images, the sagittal position, the coronal position, and the cross-sections were displayed on the screen, one after another. The computer mainfra began reconstructing based on these sections.
Slowly, the three-dinsional reconstructed image of the blood vessels appeared on the screen!
“What is this?”
Soone covered their mouth, soone rubbed their eyes, soone stood up.
A huge vascular tumor appeared on the screen, surrounded by blood vessels from all directions intertwined together, forming this vascular tumor.
The contrast agent in the blood vessels soon overflows, one vessel strays, two vessels stray, three vessels stray — countless vessels stray, the entire vascular tumor in a state of smog.
The reconstructed image rotates on the screen, Song Zimo quickly judges the number of blood vessels, those with a diater greater than five milliters, at least there are more than one hundred, no, even more!
This abdominal vascular tumor has been damaged, ruptured, and is bleeding heavily.
Even with autologous blood transfusion equipnt, and the effusion of countless blood products, it would be of no avail.
More than a hundred blood vessels, or even more vessels, all need to be ligated and then the whole vascular tumor needs to be removed completely.
Otherwise, the bleeding can’t be stopped, and the patient will desperately bleed everywhere in the abdominal cavity on the operating table, powerless to do anything.
“Oh, my God!”
People had just recovered from Song Zimo’s surgery when they saw this bizarre vascular tumor.
One of Japan’s top trauma surgeons, Takahashi, was actually scared.
Even with their infrared trauma surgery assisting system, it was to no avail.
The anatomy of this freak vascular tumor is unique. Nobody has ever encountered hundreds of blood vessels coming from all directions, intertwining.
The surgeon needs to find these blood vessels in a short amount of ti. All vessels need to be located, then ligated.
How is this possible?
Takahashi rembered vividly that once, under Teacher Fujihara’s guidance, he encountered such a trauma case with a huge vascular tumor in the abdominal cavity.
Because of unfamiliarity with the anatomy, relying on imaging pictures, for each and every one vessel to find, only about a dozen were found before the patient bled to death on the operating table.
A devil’s surgery, a real devil’s surgery!
Everyone watching the live stream was astonished, a never-before-seen vascular tumor, you simply do not know its anatomy, do not know how many vessels it has.
Now, in order to save the patient, amidst handling countless traumas simultaneously, the great vascular tumor must also be excised.
Even if only this tumor is to be removed, undergoing an elective surgery and being fully prepared, it is still a perilous marathon, every vessel has to be ligated.
A preoperative CT and MRI angiography should be perford, as well as a vascular reconstruction, and repeated analysis and scrutiny, then dare to proceed with the surgery.
Director Tan’s face was ashen, too surprising, it was unfortunate luck. Although everyone knows this is a devil’s surgery, an impossible success.
But in front of so many doctors from so many countries, live-broadcasting a patient dying on the operating table is sothing any hospital cannot accept.
What to do? Director Tan looked at Director Han.
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